| Boca Raton Center For Internal Medicine Pllc | |
|
880 Nw 13th St Ste 120 Boca Raton FL 33486-2342 | |
| (561) 408-8195 | |
| (561) 293-8348 |
| Full Name | Boca Raton Center For Internal Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 880 Nw 13th St Ste 120, Boca Raton, Florida |
| Authorized Official Name and Position | Tiago Miguel (PHYSICIAN) |
| Authorized Official Contact | 5614088195 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boca Raton Center For Internal Medicine Pllc 880 Nw 13th St Ste 120 Boca Raton FL 33486-2342 Ph: (561) 408-8195 | Boca Raton Center For Internal Medicine Pllc 880 Nw 13th St Ste 120 Boca Raton FL 33486-2342 Ph: (561) 408-8195 |
| NPI Number | 1306347794 |
|---|---|
| Provider Enumeration Date | 02/22/2018 |
| Last Update Date | 09/10/2018 |
| Medicare PECOS PAC ID | 9537410089 |
|---|---|
| Medicare Enrollment ID | O20180921000587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306347794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME117449 (Florida) | Primary |
| Provider Name | Tiago F Miguel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982903589 PECOS PAC ID: 7012133663 Enrollment ID: I20140717000911 |
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